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Subject: MEDICAL REPORT  14 AUG 90                                       

Unit: 24TH ID     

Parent Organization: XVIII CORPS 

Box  ID: BX001433

Folder Title: MEDICAL REPORTING-DIVISION SURGEON                                                              

Document Number:         17

Folder Seq  #:        456






             OMAN




            VMRIC PROTOZOAL DisEAsrs (I week to several months)
                   Transmission: Ingestion of causative agent(s) In fccally contaminated water or food.
                   Risk Peri(KVDistribution: Year-round, with increased Incidence from August to September. Occur'
                       countrywide, with increased risk in rural areas.
                   Remarks: Usually associated with more chronic infccuors, some protozoans such astistanweba
                       histolyticaandGiardialiutibliac3ncausenculadiarrlica.Clijilcalcascsofginrdiastsitndamoblasts
                       are rcpoaw infrequently, but are known to be common, P-qpccially In rural areas. Pxaminations of
                       fe@ samples from apparently hc3ltliy adults have demonstrated the presence of carriers for
                       giardiasis and amcbiasis, even among higher socioeconomic groups In urban areas. (3fardiasls
                       usually is seen in children and is the most common lnicsflnal parasite. Ameblasis Is a common
                       cause of dysentery in adults.

            TYRTIOID AND PARATMIOID F-EVERS (I to 3 weeks)
                   Transrnizion: Ingestion otcausative agent(s) in food and water contaminated by feces or ukino of
                       infective humans.
                   Risk Period/Distribution: Occur year-round, with increased Incidence from June to AugusL Occur
                       countrywide, with increased incidence in rural areas.
                   Remarks: Reported sporadically (average of 200 cases annually). Risk of Infection In the capital
                       city of Muscat is very low; most cases ate reported from rural areas. A low level of multiple
                       drug resistance is reported. These diseases could be significant causes of morbidity among
                       non,ndigcnous personnel, especially in outlying village areas.

             MENINCOCOCCAL MENINGrnS (2 to 10 days, usually 3 to 4 days)
              Trnnsmission: Direct contac4 including droplets and discharges from hoses and ilirools offutected
                       persons.
                   Risk Pcriod/Distribution: Cases occur year-round, with a peak Incidence between November and
                       February. Occurs countrywide, with Increased risk In rurni atom (among lower sDcID=notWo
                       groups).
                   Remarks: Endemic, causing sporadic cases and cyclic epidemics every 8 to 12 years. C;totip A Is the       -
                       predominant typc.Nc average annual reported incidence Is fewer than 20 cases. An epidemic
                       with 127 reported cases occurred after the 1987 liafl (pilgrimage). Most clinical cases occur In
                       children and young adults, and the overall case fatality rate Is between 10 and 25 percent.

             SEXUALLY TRANSMITTT--D DISCAS -M (Ms) (2 days to 3 weeks)
                   Transmission: Sexual contact.
                   Risk Period/DLstribution: Year-round; countrywide.
                   Rcmarks: Endeffiic, bu(undcrrcpotcd. Patterns of STD occurrence appear similar to those seen In
                       Western Europe, with a large number of cases of gonorrhea and nonspecific urctlid@, and tare
                       rcpo@ of tropical STDs (chancroid, lymphogranuloma vcncreum, and granuloma lnguinale).
                       Sypltilis also is uncommon, and the gonorrhca-lo-syplzilis ratio Is greater tlittn 10:1. Po@cillinose-.
                       producing Neisseria goiiorriiocae (PPNG) is reported at low levels.

              CIIOLERA (usually 2 to 3 days, range of 6 hours to 5 day,,;)
                   Transmission- lngcs6on of causative agent, primarily In water contaminated with feces of votffltus
                       of infective humans.                      I
                   Fisk Ileriod[Distribution: Currently not endemic.
n the summer.
                       Nonindigcnous personnel are at low risk of infcction.nic last outbreak was In 1984.

              AR13OVlRAL FRVERS (3 to 12 daysj
                   Sandfly fever may be circulating at a low level, but no scrological studies or clinical r-a= have been

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Document 79 f:/Week-22/BX001433/MEDICAL REPORTING-DIVISION SURGEON/medical report 14 aug 90:12179611151420
Control Fields 17
File Room = may96_declassified
File Cabinet = Week-22
Box ID = BX001433
Unit = 24TH ID
Parent Organization = XVIII CORPS
Folder Title = MEDICAL REPORTING-DIVISION SURGEON
Folder Seq # = 456
Subject = MEDICAL REPORT 14 AUG 90
Document Seq # = 17
Document Date =
Scan Date =
Queued for Declassification = 01-JAN-1980
Short Term Referral = 01-JAN-1980
Long Term Referral = 01-JAN-1980
Permanent Referral = 01-JAN-1980
Non-Health Related Document = 01-JAN-1980
Declassified = 17-DEC-1996